go back

Enteral Formula, Nutritionally Complete, Calorically Dense

Washington rates for HCPCS B4152

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Rates data updated July 2026.

Facilitymedian $0 · 10th–90th $0$10%20%10th90th$0Professionalmedian $0 · 10th–90th $0$20%50%10th90th$0$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.32
Median
$0.38
Typical High
$1.66
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.50
Typical High
$0.93
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.56
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.40
Median
$0.56
Typical High
$0.79
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.37
Median
$0.37
Typical High
$0.37
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$0.41
Median
$0.50
Typical High
$0.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.33
United
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$0.39
Typical High
$0.39
United
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.78
Typical High
$1.26
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.33
Median
$0.33
Typical High
$0.59